Hospital at Home Clinical Practitioner

Main area Hospital at Home Grade Band 6 Contract Permanent Hours

• Full time
• Part time
• Flexible working
• Compressed hours

37.5 hours per week (Shifts across 7 days) Job ref 364-B-586

Site St Margaret's Hospital Town Epping Salary £39,959 - £48,117 per annum, plus 5% High Cost Allowance Salary period Yearly Closing 10/11/2026 08:00

Please be aware that, due to current allocation constraints, Certificates of Sponsorship (CoS) are being prioritised for registered roles at this time.

Our Trust cares for more than 100,000 patients at any one time across our community health, mental health and learning disability services across Essex and parts of Bedfordshire and Suffolk.

We want you to be part of our journey of transformation, where our patients and their families are at the heart of everything we do and to achieve our vision to be the leading health and wellbeing service in the provision of mental health and community care.

You’ll be part of a Trust where you will be supported to be your authentic self and be the best you can be, where we will help you to grow, develop and thrive.

The Trust is recognised by the University of Essex and is a top provider of apprenticeships for people looking to be an assistant practitioner, senior health care support worker (CAP). Our trailblazing CAP apprenticeship won a national HSJ Award.

We are also recognised as a Veteran Aware Trust and holder of gold accreditation from the Ministry of Defence Employment Recognition Scheme. Our services are highlighted as an exemplar of good practice, producing the best care for more than 3.500 armed forces veterans in the past seven years.

We have been shortlisted and won national awards. We are an inclusive organisation and Level 3 Disability Confident Leader Trust.

We are constantly innovating and looking for new ways to deliver care, such as using technology to enhance patient care and working with partners to launch new services such as the Basildon Mental Health Urgent Care Department, virtual hospitals and falls response cars.

Join us and you’ll do the best work of your life – and make a difference to other people’s lives. What we do together, matters.

Job overview

An exciting opportunity has arisen for an experienced and motivated Band 6 Clinical Practitioner to join the West Essex Hospital at Home Service.

Hospital at Home provides safe, effective and person-centred care to patients who would otherwise require admission to an acute hospital or who can be supported to leave hospital earlier. Care is delivered through a combination of face-to-face clinical assessment, treatment and remote monitoring, supported by a multidisciplinary team.

The successful candidate will work autonomously within their professional scope of practice, managing patients with a range of acute and complex health needs in their own homes. You will undertake comprehensive assessments, develop individualised care plans, deliver clinical interventions and recognise and respond to deterioration.

We are looking for a compassionate and forward-thinking practitioner with strong clinical decision-making, communication and organisational skills. Community or acute-care experience would be beneficial, although appropriate induction, training and ongoing professional development will be provided.

The service operates seven days a week, and the postholder will be required to work flexibly across the service’s operating hours, including weekends and bank holidays.

Main duties of the job

The postholder will:

• Undertake comprehensive and holistic clinical assessments in patients’ homes and virtually.
• Manage a delegated caseload of patients with acute, complex and changing healthcare needs.
• Develop, implement and evaluate person-centred treatment and care plans.
• Monitor patients through face-to-face assessment and remote-monitoring technology.
• Recognise clinical deterioration and initiate appropriate escalation or emergency intervention.
• Deliver clinical interventions in accordance with professional competence and local policies.
• Work collaboratively with medical staff, senior practitioners, pharmacists, therapists, primary care, community services and acute hospital teams.
• Support admission avoidance and timely discharge from hospital.
• Maintain accurate, contemporaneous clinical records using the Trust’s electronic systems.
• Participate in daily multidisciplinary discussions, clinical handovers and safety huddles.
• Support junior colleagues, students and newly appointed staff through supervision and role modelling.
• Contribute to clinical audit, quality improvement, incident learning and service development.
• Work in accordance with professional standards, safeguarding requirements and Trust policies.

Working for our organisation

Valuing you. Recognising your dedication. At EPUT, we look after you.

• Receive supervision and support to help you fulfil your potential.
• Join an inclusive EPUT community and connect with others through engagement events and equality or champion networks.
• If you need help, we provide mental health and wellbeing services, occupational health advice and counselling.
• We run recognition awards to recognise staff's hard work and dedication
• 27 days holiday, plus bank holidays, rising to 33 days after 10 years’ service.
• Excellent pension of up to14.5% of your pensionable pay.
• Staff discounts include Blue Light Card, NHS discount offers, and staff benefits.
• £8K relocation package if you move to Essex to join us (Subject to T&Cs)
• Season ticket loans are interest‑free to cover the cost of travelling to and from work via tram, rail, or bus

Work that wraps around your needs

• Flexible working: available from day one for most roles.
• Job share: Applications for job shares are welcomed.

Detailed job description and main responsibilities

The postholder will be a registered nurse or allied health professional withpost-registration experience and broad clinical knowledge.

They will have experience working showing the clinical competence, leadership skills and professional development required to progress into the role.

The postholder will work autonomously as part of the Hospital at Home multidisciplinary team, providing assessment, treatment and monitoring for patients in their own homes. This will include using digital and remote‑monitoring technology to support clinical decision‑making and identify deterioration.

The postholder will:

• Undertake comprehensive and holistic assessments of patients with acute, complex and changing healthcare needs.
• Develop, implement and evaluate individualised, evidence‑based programmes of care.
• Manage a delegated caseload autonomously, with access to senior and medical support when required.
• Identify patients suitable for admission avoidance or supported early discharge from hospital.
• Recognise clinical deterioration and initiate appropriate treatment, escalation or emergency pathways.
• Deliver clinical interventions within professional scope of practice and demonstrated competence.
• Coordinate multidisciplinary care and allocate patient visits according to clinical priority, complexity, geography and staff competence.
• Provide clinical expertise, advice and day-to-day support to other members of the team.
• Work closely with medical staff, GPs, acute hospitals, community services and wider integrated‑care partners.
• Use remote‑monitoring systems and other technology to review patients and support clinical decision‑making.
• Maintain accurate, contemporaneous clinical records in accordance with professional and Trust standards

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